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Enterolith


Presentation

  • If none of these signs are present, uncomplicated enterolith ileus is present. In uncomplicated enterolith ileus (21 patients), more often milking and crushing or enterotomy was performed.[ncbi.nlm.nih.gov]
Prolonged Immobilization
  • This condition should be considered in elderly patients with prolonged immobilization or neurodegenerative diseases.[ncbi.nlm.nih.gov]
Chronic Cough
  • Medical College, Kalaburagi 585101, India of vomiting, fever or chronic cough. Patient had normal bladder and bowel habits. On clinical examination the abdomen was not distended, soft with tenderness in the right iliac fossa.[docksci.com]
  • There was no history of vomiting, fever or chronic cough. Patient had normal bladder and bowel habits. On clinical examination the abdomen was not distended, soft with tenderness in the right iliac fossa. There was no mass palpable.[ncbi.nlm.nih.gov]
Acute Abdomen
  • Complications of jejunal diverticula and enteroliths are reported and should be considered in patients with an acute abdomen.[ncbi.nlm.nih.gov]
  • Keywords : Acute abdomen, Enterolith, Meckel's diverticulum Meckel's diverticulum was first described by Fabricius Hildanus in 1598.[casereports.in]
  • Peroni, Diseases of the Descending Colon, The Equine Acute Abdomen, (775-782), (2017). Noah D. Cohen, Epidemiology of Colic, The Equine Acute Abdomen, (205-214), (2017).[doi.org]
  • A case of acute abdomen caused by Meckel’s diverticulitis with enterolith is reported. Additional information Author information N. Agaoglu* Prof. Dr. N. Agaoglu, M.B.Ch.B., M.D., F.R.C.S., F.A.C.S.[tandfonline.com]
Constipation
  • A 30-year-old woman presented with a short history of abdominal pain which rapidly progressed to absolute constipation.[ncbi.nlm.nih.gov]
  • During the eight months of the obstinate constipation, numerous laxatives,[jamanetwork.com]
  • She had experienced abdominal distension 3 years after starting a treatment using a magnesium oxide for constipation. Abdominal computed tomography revealed the presence of multiple structured objects inside the colon.[jstage.jst.go.jp]
  • Kasamatsu Nao Sekiya Hiroshige Nakano Abstract We report herein the rare case of a 26-year-old woman who developed a small-bowel obstruction caused by a medication “bezoar” or enterolith, following the long-term ingestion of magnesium oxide cathartics for constipation[doi.org]
Intestinal Perforation
  • Primary enterolith is a rare condition that can induce ileus and intestinal perforation. We report the first case of a true primary enterolith treated by balloon-assisted enteroscopy. The patient presented with a small intestinal ileus.[ncbi.nlm.nih.gov]
  • Because we found no evidence of intestinal perforation or biliary dilatation in our patient, it is unlikely that the stone was formed in the biliary tree.[ajronline.org]
  • Abstract Primary enterolith is a rare condition that can induce ileus and intestinal perforation. We report the first case of a true primary enterolith treated by balloon-assisted enteroscopy. The patient presented with a small intestinal ileus.[jstage.jst.go.jp]
  • Sometimes the disease can lead to complications such as intestinal perforation or perforation due to enteroliths.[cyberleninka.org]
  • Enteroliths originating from a Meckel's diverticulum have also been associated with intestinal perforation [ 7, 9 ]. Accurate diagnosis of diverticular perforation due to enterolith impaction is generally demanding.[casereports.in]
Recurrent Abdominal Pain
  • SUBHASH TAILOR, MD Bhilwara, Rajasthan [ INDIA] A 45yrs old female with H/O recurrent abdominal pain & vomiting, subjected to sonography abdomen, revealed an area of focal short segmental small bowel mural thickening with luminal narrowing[stricture][sumerdoc.blogspot.com]
  • Recently a 50-year-old female, who was treated for pulmonary tuberculosis 12 years back, presented to us with recurrent abdominal pain over the last two years. She had symptomatic treatment with antacids, anti-spasmodics and deworming agents.[ijri.org]
  • A history of sudden or recurrent abdominal pain, associated with vomiting in a patient who is in a population at risk for enterolithiasis should raise suspicion of a possibility of enteral concretions.[ncbi.nlm.nih.gov]
Intestinal Disease
  • Wikidata Jump to navigation Jump to search A stone within the digestive tract Concretion of intestine edit Language Label Description Also known as English Enterolith A stone within the digestive tract Concretion of intestine Statements subclass of intestinal[wikidata.org]
  • Durham, Intestinal disease, Equine Applied and Clinical Nutrition, 10.1016/B978-0-7020-3422-0.00035-3, (568-581), (2013). Eileen S Hackett, Specific Causes of Colic, Practical Guide to Equine Colic, (204-229), (2013). Andy E.[doi.org]
Flank Pain
  • Indian J Nephrol 2014;24:402-3 A 55-year-old female presented with complaints of burning micturition, left flank pain, and occasional discomfort in suprapubic region for last 6 years.[indianjnephrol.org]
Burning Micturition
  • Indian J Nephrol 2014;24:402-3 A 55-year-old female presented with complaints of burning micturition, left flank pain, and occasional discomfort in suprapubic region for last 6 years.[indianjnephrol.org]
Dysuria
  • A 38 year old patient presented with lower abdominal pain and dysuria. Plain radiograph of abdomen was showing radiopaque densities in pelvis falling in close proximity of urinary bladder.[casereports.in]
  • All dysuria is local. A cost-effectiveness model for designing site-specific management algorithms. J Gen Intern Med. 2004 May;19(5 Pt 1):433-43. PubMed ID: 15109341 Rothman MJ, Rothman SI, Beals J 4th.[ebmcalc.com]
Confusion
  • An enterolith is not to be confused with a gastrolith, which helps digestion.[en.wikipedia.org]

Workup

  • The five other examinations were performed within the framework of a lymphoma workup. The EPAGE criteria were applicable for 411 patients.[em-consulte.com]

Treatment

  • Surgical treatment is an enterotomy and stone extraction or manually crushing and milking the stone distally into the colon.[ncbi.nlm.nih.gov]
  • Images are presented with differential diagnosis and treatment choices.[jhu.pure.elsevier.com]

Prognosis

  • Schumacher, Diagnosis, management and prognosis of large colon impactions, Equine Veterinary Education,, (2019).[doi.org]
  • Lasota about their work, link to Gastrointestinal Stromal Tumor Pathology and Prognosis .][gistsupport.org]
  • COMPLICATIONS AND PROGNOSIS Complications related to enterolithiasis should be sought for and recognized early.[ncbi.nlm.nih.gov]

Etiology

  • A 78-year-old man with bowel obstruction of unknown etiology was initially managed conservatively, but suffered recurrence of the obstruction.[ncbi.nlm.nih.gov]

Epidemiology

  • Cohen, Epidemiology of Colic, The Equine Acute Abdomen, (205-214), (2017).[doi.org]
  • The objective of this study was to retrospectively evaluate the epidemiological, clinical and evolutionary aspects of a series of patients diagnosed with gastrointestinal bleeding, admitted to the Intensive Care Unit of the Clinical Emergency Hospital[umbalk.org]
  • References Loftus EV Jr (2004) Clinical epidemiology of inflammatory bowel disease: Incidence, prevalence, and environmental influences. Gastroenterology 126: 1504-1517.[omicsonline.org]
  • Gender and age remain important epidemiologic factors in enterolithiasis.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • ANATOMY AND PATHOPHYSIOLOGY Anatomy of the intestinal tract plays an integral role in enterolith formation.[ncbi.nlm.nih.gov]
  • In addition, consideration needs to be given to the unwell term or preterm neonate as the disease pathophysiology may significantly influence fluid and electrolyte requirements.[rch.org.au]
  • In: Pharmacotherapy: A Pathophysiologic Approach. 9th ed. McGraw Hill-Medical; 2014. OCLC: 868156865 Fletcher RH, Fletcher SW, Fletcher GS. Clinical Epidemiology The Essentials. 5th edition, Lippincott William & Wilkins Baltimore, 2013 p.102.[ebmcalc.com]

Prevention

  • Dietary modifications promoting acidification of colonic contents and dilution of minerals might be beneficial as preventive measures for enterolithiasis in horses. Key words: Alfalfa hay; Colic; Colon mineral content; Enteroliths.[doi.org]
  • Dietary modifications promoting acidification of colonic contents and dilution of minerals might be beneficial as preventive measures for enterolithiasis in horses.[ncbi.nlm.nih.gov]
  • Cancer Prevention : The infusion is rich in antioxidants that provide many benefits.[ddg-gastro.be]
  • It prevents the release of mast cell toxic mediators and can also reduce absorption of antigens by the small bowel.[atmph.org]

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